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0229 SADDLER LANE
UPC 12543 F No.53LOR ® �S7CONSJ. HASTINGS,MN Town of Barnstable Regulatory Services °s Thomas F.Geiler,Director ? > WARM Building Division v39, Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Amok www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ SHED REGISTRATION 200 square feet or less Location of shed(address) Village ep Property owner's name Telephone number O Size of Shed Map/Parcel# c.1 L Sign ur Dat i v r-" Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMNIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMIVIISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042911 J 5`7 c o IV ir C � o (1 j 1 ^ &s•coo --- Z>4.0Z PR EPA RED FOR Y` CER TIF/f_D PLOT PLAN `. LOCATION, 1AF-ST �_- SCAL E: - ?� DATE: �pr�'� ►�� �`1"� ? REFERENCE F• L.C.P. _ FLOOD ZONE: ,.. -�,� .$., I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE 4EVEREii IL ' GROUND AS SHOWN HEREON,AND THAT /T NII�CKIEY ; r. - 17137p �•' . �_— CONFORM TO THE ZONING BY,LAWS OF THE TOWN OF FAG -i< 'LE. WHEN CONSTRUCTED. WEL L ER & ASSOCIA.TES F TI`4 MAIN STf;EET __ __ _ rARMOUTH, MASS. DATE Insulate '2 save Weatherization & Insulation aio Grove St Fall River,Ma ornS Ineuiaremve net On 8/20/2012 we finished the insulation and weatherization job at 229 Saddler Lane West Barnstable. We installedl068 f0 of RI unfaced fiberglass batts in the attic, a thermadome RI stair cover, 2- insulated hoses and roof mounted vents to exhaust existing bathroom fans, 100 f of R30 kraft faced fiberglass to the basement ceiling, 131 .ft2 of 2"FSK faced semi-rigid fiberglass board insulation to a lmeewall area and installed 15 propavents. To the best of my knowledge everything is up to code. � U Roland Lan;gevin CSL 103861 HIC 166311 ZZ ZO/Z0 39Vd 90L9L95805 69:LO' ZTOZ/Z6/80 u TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I ApRcatoion # Health Division Date Issued Z' Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board VV Historic - OKH _ Preservation / Hyannis Project Street Address �c9 SA- ( W l ( Village / ,, / Owner ( Alna�bulh Address 4-n {ti Telephone - V a Permit Request LhsCi �-c I e ,1 nos 12 An, Via - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _0 Q-3. y4 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑ Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) _ Number of Baths: Full: existing new Half: existing a Nnew Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floo Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woold/coal st ye: Q-Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) y Name I LTelephone Number y� ' su-i '016Q Address ��)✓� (' License # b U Home Improvement Contractor# I Worker's Compensation # S 1 l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJ T WILL BE TAKEN TO i SIGNATURE� _ DATE (12 a 4 !; FOR OFFICIAL USE ONLY zAPPLICATION# DATE ISSUED MAP/PARCEL N0. `p ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT �> ASSOCIATION PLAN,NOS'-'-' f ol� f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): J Address:14- D &n)V(_tl City/State/Zip: Phone.#: 6o\? . 15cn -(1-7 0 CY Are,you an employer?Check the appropriate bog: 4. I am a general contractor and I Type of project(required): 1.[�I am a employer with 10 ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp, insurance comp. insurance.$ ❑ g required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L F]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.([V Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name?f KU'- Policy#or Self-ins. Lic.#: Expiration Date: 1 a Job Site Address: City/State/Zipw. uJA . 1/ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. i 52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information providef above i true and correct Signature: Date: I ( o� Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Y OP ID: HIS ACORO' DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/22/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemen s. PRODUCER 508-675-0308 NAME:� Helen Gagne D aacPartnerslns.MizherDivision 508-675-3006 E� 91-3174 �91-3108 N,:508 560 Wilbur Ave. E-MAIL Swansea,MA 02777 ADDRESS: RES:h a n artnersins rpllc.com Stephen Long-Swansea CUSTOMER 10 0:INSUL-i INSURER(S)AFFORDING COVERAGE NAIC# INSURED Insulate 2 Save Inc. INSURER A:Scottsdale Insurance Company Roland Langevin INSURER B:Travelers of Massachusetts 536 Eastern Ave. INSURER C: Fall River,MA 02723 INSURER D INSURER E: INSURER F- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER MMMIUDD CY EFF MMMIIDD POLICY EXP LTR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1'000'00 A X COMMERCIAL GENERAL LIABILITY CPS1366499 06/12/11 06/12/12 PREMISES Ea ocoorenae $ 50'00 CLAIMS-MADE a OCCUR MED EXP(Arty one person) $ 5+00 PERSONAL&ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 11000100 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS Is is X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1'000'00 A X EXCESS LIAB CLAIMS-MADE UBS0001144 06/12111 06n2/12 AGGREGATE $ 1,000100 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION WC ST Mrr FR AND EMPLOYERS LIABILITY 12/10/11 12/10/12 500100 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y� NIA 4970P25111 E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? 500100 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes desrnbe under E.L.DISEASE-POLICY LIMB $ 500'00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACach ACORD 101,Additional Remarks Schedule,If more space Is required) Honeywell International Inc,its subsidaries and its and their respective officers,directors,shareholders,employees and agents as additional insureds in respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD 91te ommonweald Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement ktor Registration ; — Registration: 166311 Type: DBA Expiration: 5/11/2014' Tr# 222532 INSULATE 2 SAVE ROLAND LANGEVIN I:r -- 410 GROVE STREET — FALL RIVER, MA 02720 \�r�•. - '.!� date Address and return card.Mark reason for change. Address Renewal ❑ Employment [],LostCard DPS-CAI v SOM-04/04-G101216 -- -- --- Offi ce�f18on0ma1r'Affa en 8,u§ines�eon License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: , 466311 Type: Office of Consumer Affairs and Business Regulation Expiration: 4:?►1.[2,014 DBA 10 Park Plaza-Suite 5170 ---° — ==- Boston,MA 02116 I TE 2 SAVE,,wE („T1 9 .. ROLAND LANGEV�N�3�= 536 EASTERN AVE!; FALL RIVER,MA 02�23 Undersecretary Not valid without signature a_r ! , Ntassachusettts- Department of Public Safet" Board of Buildim,Re_ulatiuns and Standards Construction Supervisor License License: CS 103861 Restricted.io:. 00. ROLAND°L-ANGEVIN 536 EASTERN AVE.- FALL RIVER,"MA 02723 Expiration: 8/24/2D13 (.nm�nxi.t+er Tr#: 103861 r OWNER AUTHORIZATION FORM 0 (Owner's Name) owner of the property located at 3ag �c �C-'r Lac►'1� (Property Address) (Property Address) hereby authorize =-'F' S v (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my pr perty. � 4 Caw er's Signature ' I Date D AUG 2012 t�Er TOWN OF BARNSTABLE —au.11ding °�► Application Ref: 200706353 Permit * * INSTABLE, Issue Date: 12/11/07 9 MASS. 1639. P A plicant: ARNOLD,JONATHAN Permit Number: B 20073049 Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/09/08 Location 229 SADDLER LANE Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 152051 Permit Fee$ 30.75 Contractor ARNOLD,JONATHAN Village WEST BARNSTABLE APP Fee$ 50.00 License Num 95021 Est Construction Cost$ 7,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REPLACE SHEETROCK AND INSULATION FROM WATER DAMAGE HIS CARD MUST BE KEPT POSTED UNTIL FINAL I SPECTION HAS BEEN MADE. WHERE A IN BASEMENT RTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WHEELER CRAIG R 8i MARY A 6 LDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1150 BEAR ISLAND DR INSPECTION HAS BEEN MADE. W PALM BEACH, FL 33408 1 Application Entered by: JL Building Permit Issued By THIS PERI4IIT CONVEYS:NO.RIGHT TO.000UPY,ANY STREET ALLY OR SIDEWALK OR AN,: ART;THE F,EITHER TEMPORARI,f OR PERMANENTLY. ENCRO.ACI IFM jTS ONPUBLIC PROPERTY NOTSPECIFICALLY`PERMITTED`UNDER THE UILDING E;MUST BE.APPROVED; Y THE JURISDICTION. STREET OR ALI Y GRADES AS:WELL A$DEP,TH.AND LOCATION OF PUBLIC SEWERS MAY..BE OBTAII•IED:FROM,THE DEPARTMENT:R PUBLIC WORKS:... THE[SSUAN CE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANTFROM-THE CONDITIONS OFANY APPLICABLE SUBDIVISION'RESTRICTIONS; MINIMUM OF FOUR CALL-INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK; 1,FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3,WIRING 8c PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5. INSULATION. 6.FINAL IN SPECT[ON BEFORE OCCUPANCY.: .WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHA LL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE.TIiE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). r J� ';� _ - �,xsh5,r-art '.si.: r �.';d. � 'wi^'u K "&- '"p -- -� ® • D -. �J,k, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPR.OVA`f.,S "ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Delr -4t 2 Board of Health 24'6 13' 12'10 v Unfinished Basement v �00" Upstairs Office Unfinished basement 21'1 N UP 3'1 N Closet Bullk4.ead 3'8 u LIVING AREA 1377 sq ft s Exterior �; �� , r —� ��r r�r �.��s e+; „'��1�g��w, � ; .ti �' �� t xt J ,�, YN' �v ��1 e. ��',., . �1 �{ � �y t,$ii�. �4� I S� � t}�i d,: ^iSv!ubt6lgtlA � 1 .'.li't'�_Vfa f� I ,i J A t i �SY K k T I a F ! i 1'3 , . 1 p T A 1 F t 1+� 1. 3. I. y i. Ilk a<: s - r r, 4 s i 7 l s (i i y'a- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map <S�L���/ Parcel 30.t-2-v Application#C?2dC 70(O3 J Health Division Date Issued• Conservation Division '.Application Fee Tax Collector Permit Fee .?� Treasurer ak Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 2 Z 5 S sa D P I a,v f- Village Owner S,A,x A t-% a* sit Address-2-2 1 "S A ID a 1-cr X L,A N 4 %,%) 3Arr, S'�►B�►L Telephone s 0,S Y - / 3J7 Permit Request SffAc-r-A-e c Jc ::Z� c, F1' / Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� do Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family do� Two Family Cl Multi-Family(#units) Age of Existing Structure ����� �S�ui1 Historic House: ❑Yes UrGo- On Old King's Highway: ❑Yes O1Voo Basement Type: 0<11 , ❑Crawl ❑Walkout ❑Other ; Basement Finished Area(sq.ft.) 2 S"-� Basement Unfinished Area(sq.ft) • ICD Number of Baths: Full:existing new Half:existing _ new Number of Bedrooms: existing new cn 0 Total Room Count(not including baths):existing new First Floor Roo Count -� w D• Heat Type and Fuel: 0 Gas ❑Oil ❑Electric 0 Other , Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:dexisting 0 new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use P ;� BUILDER INFORMATION Name- .� .� 1 N(rV Vl.Y t) &iIJ t'14 STW►- Telephone Number "2 a Z G - 7 1- Address S"S o w a S t if m License# Z 7 /fir ,^- Zit a/L 9 , wi vL 3 S''S Home Improvement Contractor# 37 J, 7 Worker's Compensation# /VIZ \a/c '70'2o I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO D&4vk p sTa- S 7 O c,) ro, v �.—o.� S 7- tt -,, 2 ek D Z S SIGNATURE DATE /C1' r i FOR OFFICIAL USE ONLY ,APPLICATION# DATE ISSUED MAP/PARCEL N0. 41 ADDRESS VILLAGE OWNER DATE OF,INSPECTION: - FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH :FINAL l 1tV 9 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN•NO:'•. I a 060 Washington Sfreet .� &ostdn,;MAW 021•�l' www.massgoVIdlVa `orkerV ComPensatl'on nsl r'ance A ida t. Build ers/.Contractors/Electrici�anslP:l b.. A IiEai>Ef' ornatioa� ers Please k'r nt L90bly Name(Business/Orgmization/Individual): /u E&V t✓—+✓4 iqn,r% � Address: 5 9 c C.tl�Syl�„/e,?c1�J City/State/Zip: ��!►'�(3�icy /M4 02359 Phone#: E3 _ Are you an employer?Check the,appropriate box: 1•�I ani a employer with 4. ❑ I am a teneral�ntraCtor and I .. T'P7fld t(required): hired the.,submsoatractors-• :7__.6-_Dstiuclion-__.. 2:❑ I am a sole proprietor orpartner- listed on the attached sheet �• ❑ ing ship and have.no employees _ These sub-contractors have working forme in any capacity. workers co 8 ❑ n [No workers' co irsurance. _ mp.insurance 5. ❑ We are a corporation and its 9. Buildingaddition required] officers have exercised their 10.❑ repairs or additions3•❑ I am a homeowner doing all work right of exemption-per MGL 1.1.[ ng repairs or additions myself,[No workers' comp. t. 152, §1(4),and we have no insurance requiied.]t employees. [No workers' Ll3.[:] ❑ repairs comp:insurance required.] Other 'Any Applicant that checks box#i must also fill out the section below showing their workers'compensation Policy t Homeowners who submit this e$davit indicating They are doing all work end then hire outside ooatractors submit 'Contractors that cbeckthis box must attached�additional sheet showing new affidavit indi wing the name of sub contractors and their, eating such. comp.policy infornnation. I am an employer that.is providing workers'compensation hiformation. insurance for my employees. Below is the policy and J'ob site/ Insurance Company Name: '-r VA Lf.J S VtAN Cc Policy#or Self-ins. Lic.#: Expiration Date: I(. t Zvi Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration d Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the ate). fine up too $1,500.00 and/or one-year imprisonment, as well as civil. imposition of criminal penalties of a Of up-to$250.00.a'day against the violator. Be advised that a.copy of this statement maybe forwarded to the Office and a fine RIB EIRDER' Investigations of the DIA for insurance coverage verification of I do hereby certi u der the' s a penalties o e.'u thin the information provided above is true and correm Dater Plione.#: �. O,f�icial use only. Do not write in this area,to be completed by city or town official: City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.$uildigg Department 3.City/Town Cleric 4.-Eiectxieat inspector 5. .. 6. Other p $lambing--Inspeor Contact:ersov one i&t. L .Q oRD CERTIFICATE OF LIABILITY INSURANCE 1.0K r NESBRSNC PRfjoUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hannon-Ryan Insurance• ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE ' Assoeiates r Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EVEND OR 166 Center St., P.O. Box 457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pembroke NA 023S9 Phone:781-293-5S00 Fax:781-293-7943 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA: Lincltnark Yns ' INSURER B: Guard Ins Grog New Englan�ngd Build &Restore Ync INSURERC.- Peembroke L02359 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTw7HSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDrPONS OF SUCH POLICIES.AGGREGATE L1II+IITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS, LTR INGRE TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MWOD/ri LIMITS OENERALUABILRY EACH OCCURRENCE $1000000 -WMA X COMMERCIAL GENERALLIABILny Lu?,104629 11/01/06 11/01/07 PREMISES' (Eaaceurence $eXC1 CLAIMS MADE Fx-J OCCUR MED EXP(Any one person) $excl PERSONAL&ADV INJURY $1.000000 GENERAL AGGREGATE 8 2000000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGO $1000000 POLICY F PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 ANYAUTO (Es ooddong ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per porson) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per acgdenr) PROPERTYDAMAGE y (peracddenl) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN EAACC S AUTO ONLY. AGG $ EXCESSAIMBRELLAUAWLITY EACH OCCURRENCE 61,000,000. A X OCCUR Elcwwfewm LHAO32675 11/01/06 11/01/07 AGGREGATE- 31,0001.000 —•_ 8 DEOUCTteLE' $ X RETENTION S 9 WORKERS COMPENSATION AND TORY LIMITS ER B EMPLOYERS!UAPILITY NEWC702014 11/01/06 11/01/07 EL.EACH ACCIDENT $ 500000 0 ICEWMEEMI ERPEXCLULIEED ECUTNE E.L.DISEASE•EA EMPLOYE@ 6500000 If re.deacaiba under E.L.DISEASE-POLICY LIMIT S 5 0 0 0 0 D SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS!LOCATIONS 1 VONIC►ES 1 EXCLUSIDN8 ADDED BY ENDORSEMENT/SPECIAL PROVISIONS usuai to the insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL'ENDEAVORTO MAIL 10 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT,PUT FAILURE TO DO SO SHALL IMPOSE IO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ALITHORZED REPRESENT Bannon-A ACORD 25(2001108) /--OACORY CORPORATION 1988 P�pPlo�� Town of Barnstable Regulatory Services RARNSTABMASM1'E g` Thomas F.Geiler,Director �prED PAA'�p`0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: /)r---� ti S /�L- � � sL jT� �Lii RMA_ Estimated Cost ?r f �' � Address of Work: Z Z S ���� �2 .,.ii= C._. 13n.2 c Vic-lC I/Ll ✓� Owner's Name: S,fl cZ ,a i_1 12 eS Date of Application: 16 41 - I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER P S OF PERJURY I here yap ly for a permit as the agent o e o ate Contractor Name Registration No. OR Date Owner's Name Q:fonns:homeaf day Town of Barnstable i 3 Regulatory Services Thomas F.Ceder,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwdown.barnstable.ma.us Office: 508.8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder [� 'bfApa 9CEE ,as Owner of the subject property hereby authorize NO E�1a1� ��1C1 � to act on my bchalf, in all matters relative to work authorized by this building permit application for: 22.°l (Address of Job) to 3 21.7�5'1 Signature of Owner Date 'A-itf OAz CSE Print Name Q:Fcnm:bwildingpennits/&xpness Rcvise091307 NEW ENGLAND BUILD & RESTORE INC. 590 Washinton St. Pembroke,MA.02359 Professional building damage evaluation&repair experts (781)826-7212 Fax(781)826-0240 Client: Sarah Rose Home: (508)419-1337 Property: 229 Saddler Lane West Barnstable,MA 02668 Operator Info: Operator: JARNOLD Estimator: Jonathan Arnold Business: .(781) 826-7212 Business: 590 Washington Street Pembroke,MA 02359 Reference: Company: ServPro Type of Estimate: Water Damage Dates: Date Entered: 09/26/2007 Price List: N4AB04B7C Restoration/Service/Remodel Estimate: 4282ROSE File Number: 4282 This estimate is based solely on the findings at the time of our inspection.NEBR Inc.reserves the right to amend this estimate should hidden or unforeseen damages and/or building code violations or unsuitable job site access be discovered during or prior to construction. NEBR Inc.has estimated this project based on completing the entire scope of work as written,performing all phases in a continuous workman like manner. All work to be performed within normal working hours. NEBR Inc.to have complete control of job site at all times which includes the following but not limited to: Job supervision and scheduling, Subcontractor selection and scheduling,job site access,and construction methods and materials. Job site access maybe limited by NEBR Inc. for safety reasons at any time during construction.No work to be allowed by owner or any other parties without written approval from NEBR Inc. After the pre-construction meeting is completed,any and all requests for changes to the scope of work or changes to the project under construction, shall be addressed in writing to the contractor NEBR Inc. on the form provided to the owner by the contractor,called"change order request". Once the form has been submitted to NEBR Inc.,we will calculate the cost of the requested changes, if any,and submit them in writing to the owner for approval. Upon approval of both parties will sign the change order and the changes shall be completed.Payment for approved change orders are due at the signing of said change orders. Change orders can affect the construction schedule and projected completion date. i NEW ENGLAND BUILD & RESTORE INC. 590 Washinton St.Pembroke,MA.02359 Professional building damage evaluation&repair experts (781) 826-7212 Fax(781)826-0240 4282ROSE Room: Basement LxWxH 19'5" x 13'0" x 77' Subroom 1: Offset LxWxH 4'8" x 37' x 77' Content Manipulation charge-per hour 2.00 HR Detach&Reset Fluorescent-two tube-4'-strip light 2.00 EA Fixture(can)for track lighting-Detach&reset 5.00 EA Track for track lighting-Detach&reset 5.00 LF Smoke detector-Detach&reset 1.00 EA Thermostat-Detach&reset 1.00 EA Shelving-wire(vinyl coated)-Detach&reset 12.00 LF Batt insulation- 4" -R13 133.67 SF Remove&Replace Bifold door set-Colonist-Double 2.00 EA Remove&Replace Interior door-Colonist-stain-grade jamb&casing 1.00 EA 1/2" drywall-hung,taped,floated,ready for paint 133.67 SF Drywall Installer/Finisher-per hour 4.00 HR Baseboard- 3 1/4" 66.83 LF Carpet pad 269.14 SF Carpet 309.51 SF 15 %waste added for Carpet. Seal then paint the walls and ceiling twice(3 coats) 775.97 SF Paint door trim&jamb-2 coats(per side) 2.00 EA Paint baseboard-two coats 66.83 LF Paint door slab only-2 coats(per side) 2.00 EA Paint bifold door set-slab only-2 coats(per side) 2.00 EA Painter-per hour to prep and paint pine wrapped beam. 4.00 HR Paint baseboard heater 6.00 LF Painter-per hour to sand and prep baseboard heat covers 1.00 HR Paint door trim&jamb-Large-2 coats(per side) 2.00 EA Room: Closet 1 LxWxH 6'0" x 2'5" x 77' Subroom 1: offset Formula Triangle 27' x 2'5" x 7'7" Detach&Reset Fluorescent-one tube-2'-strip light 1.00 EA Baseboard-3 1/4" 19.50 LF Carpet pad 17.20 SF Carpet 19.78 SF 15 %waste added for Carpet. Seal then paint the walls and ceiling twice(3 coats) 165.08 SF Paint door trim&jamb-Large-2 coats(per side) 1.00 EA Paint bifold door set-slab only-2 coats(per side) 2.00 EA Paint baseboard-two coats 14.50 LF 4282ROSE 09/28/2007 Page: 2 i NEW ENGLAND BUILD & RESTORE INC. 590 Washinton St.Pembroke,MA.02359 Professional building damage evaluation&repair experts (781) 826-7212 Fax(781)826-0240 Room: Closet 2 LxWxH 47' x 2'5" x 77' Remove&Replace Casing-oversized-3 1/4" 18.00 LF Paint bifold door set-slab only-2 coats(per side) 1.00 EA 1/2"drywall-hung,taped, floated,ready for paint 28.00 SF Paint door trim&jamb- Large-2 coats(per side) 1.00 EA Remove&Replace Batt insulation- 4" -R13 28.00 SF Carpet pad 11.08 SF Carpet 12.74 SF 15 %waste added for Carpet. Room: Stairway Formula Stairway 10'0" x 31" x 16'4" Scaffolding Setup&Take down-per hour to reach high point of stairwell 2.00 HR Handrail-wall mounted-Detach&reset 24.00 LF Remove&Replace Carpet pad 28.44 SF Remove Carpet 28.44 SF Carpet 32.70 SF 15 %waste added for Carpet. Step charge for"waterfall" carpet installation 13.00 EA Paint pine trim 20.00 LF Room: General Conditions Continuous/post construction cleaning 8.00 HR Note: Additional time required not included in supporting events to make the home livable for the insured. Dust protection 4.00 HR Haul debris-per pickup truck load-including dump fees 2.00 EA Note: One load after plaster repair is complete,and one load at the completion of the job. Building permit 1.00 EA Note: Barnstable Building Dept. 508-862-4038,$50+$3.10/$K 2 week lead time. Grand Total 8;SSf�T i Jonathan Arnold 4282ROSE 09/28/2007 Page: 3 f NEW ENGLAND BUILD & RESTORE INC. 590 Washinton St. Pembroke,MA. 02359 Professional building damage evaluation&repair experts (781)826-7212 Fax(781)826-0240 Grand Total Areas: 1,077.77 SF Walls 329.92 SF Ceiling 1,407.69 SF Walls and Ceiling 325.85 SF Floor 36.21 SY Flooring 133.41 LF Floor Perimeter 282.48 SF Long Wall 180.74 SF Short Wall 126.83 LF Ceil. Perimeter 0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area 0.00 Exterior Wall Area 0.00 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 4282ROSE 09/28/2007 Page: 4 '` � �'F^' S f �ie �arrrmw�uuecr�t! o�✓�aaaac�u�elld } �� Board of Building Regulations and Standards Construction Supervisor License License CS 95021 BirtHdate::1%7a1980 Ezpiiratiori<r-,-.j 2010 Tr# 95021 f7 Restricti6ri JONATHAN ARNOLD�*;_:; F-6 BA DRIVE + NORTH ATTLEBORO,MA 02760 Commissioner i T1. �� a�✓�aQaac�waeQ2 Board of Building Regulation's and Standards HOME IMPROVEMENT CONTRACTOR Registrations.._137817 Ez_giration ,-119/2009 ``Type:_Supplement Card NEW ENGLAND.BUILD-&RESTOR JdWTHAN ARNOLD-."-.' 590WASHINGTON'ST;.:=. i PEMBROKE,MA 02359 Administrator j License or registration v before the ex valid for indivi Board expiration date. If fou dul use only One As66 wilding If and Standards return to: Boston rton Place Rm 1301 standards Ma.02108 Not valid without si gnature v • ti i Town of Barnstable Regulatory Services �F1ME'Tp� 1% Thomas F.Geiler,Director Building Division BAM PAsr.E, v MA Tom Perry,Building Commissioner s63q. �0 iDtEo 39�s 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: aQ0(0 Fee: Permit#: HOME OCCUPATION REGISTRATION Date: /2 Z 0 b Name: 4— r,,, I&G Phone#: 3-be 3 26 Address: Z 2 S Lc n e / Village: li✓. �4rhs��G�x Name of Business: Type of Business: C1)44'v 14 'ng Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. • After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,hav ead d agree wi a above restrictions for my home occupation I am registering. Applicant: Date: 6 - Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years): A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Ceptificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) x,ft .lf4 f.4 DATE: �'z6•�C %� r Fill in please: 2 APPLICANT'S YOUR NAME: /7grvn �a G BUSINESS YOUR HOME ADDRESS: 22 j �arA�J/�• -� �`�� _' ��s ;��� ��9-/'33L Ctl. �•a,.-•�rr�u�/e 1��q ®ZG.�Y ' TELEPHONE 4 Home Telephone Number S-DP Plq-/37 7. NAME OF NEW BUSINESS' cd TYPEOF BUSINESS. �'+��/ IS THIS'A HOME OCCUPAT(ON? :: A,*' YES Nib.; Have,you been given approval fro.m the building: ivitjmf? YES:: NO ADDRESS OF BUSINESS �� .�'ae/ �wr �'!. s eAV., o7-14Y MAP/PARCEL NUMBER F When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to:legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual.has been informed y permit requirements that pertain to this type of business. Authorized Sicinature** COMMENTS: 2. BOARD OF HEALTH This individual has been med `requirements that pertain to this type of business. Authorized Sig ature** COMMENTS:_,_65i2Sw/'(- .11E. ,el" /JD 11b 3. CONSUMER AFFAIRS (LICENSING AUTHORITY � This individual ha infor of the lic g y'ec� ients that pertain to this type of business. Authorized Signature* COMMENTS: } s �I Ei • ' Fifle�Edit .`Tools Help (�Yyr X: pl doa � �' �r h`�;e} ._ �,-L� � I Lyt � ® f® © �1�• � �`' ! �. 1 t-zActhon --- ' Dca7 Application F448�— lC+1, Applicant _h i� 11 j Status C ' COMPLETE 0 I Collect -- --- 771 Owner - 23416s�... -- Department 6300 BUILDING DEPARTMENT lip WHEELER CRAIG R8IV Close/Deny t Project/Activity 434-RESID.ENTIAL"ADDITION/ALTERATIO �t r _ iContractor CAl' GREG��i4� ` Jorldlow j Description 1 20X 14 FAMILY ROOMNUD ROOM,NEW DECK _1lBusiness i Description 2 Parking/A'isc R +�eactivate`---� Property/Use , Non-Confomung Dates/Mist Permits h Property. r- _ �__�_ Property Use - -- Adjust Fees _ _ .__� - _- ,._.�T����_ i� __y Location 229; Unit !j hosting use 1010-SINGI -Escrow f Street ISADDLER LANE It::.: 1 ; zoning RF_RESID 1 Parcel 152051 i Misc Chgs memo I Municipality W BAR-WEST BARNSTABLE IfY I h Paymt History Subdivision/lot i Audit History I Between �' i Proposed use 1010-SWGI and zoning RF RESID! S_umm Permit I memo _ I Location desc I Plan Review 1 (G3 Prerequisites (�; Hazrd/Restr Names fc3 Bonds Sub-Addrs Ted rp Prior.Histo Ins ections Violations Reviea+s M Open items Warrun s Find Related r . �i 1 of Z— I P Maintain project/activity detail for the current application. — i 22 o 4 r R 2 I I I i I I I i I i I I� 7 r\ I V• I� I I r I -� r �� II ► I 1 f I 7�7DD i I I I t. I ` rt s Il 1� I�i n• —1- - TM'I 10 oj N ( .i i�M � � I I i 5'c'. 4•G 5 o�I I Y ro I o a o VA 0 7- _ m e 6 ; i I 9'I � lio'I ' I T_____________ I 1 I < I I I I ro I 1 I I ; I I I I i I I I I I I Iz'o' Izb' I I It I I I I °� I I c 3 1I •� I f rr.-------- li I i I I -- �- I I I v� l � - r l n$L J OF OF m � I I J I I I I i � I ' TY,B-,L bill „7 ,L Or 1 I , I , 1 i 1 I 1 •\ v 0 r I O LL - � N 1•" .N � LLJ v 7. �P � C V •! fl I �N rQ I L qj • Toor�-:.sIJG A. r.0A6rJ E`LT�-p.Bo,r,lf1 YA ,rw. I„Il,,,i III .® III.....�. B it I Ili � 7'r_ � I j � N FR L �aa ;;'I.. ..... P° i I ,:I��I,II��IJr, lief �l !gl l l Ill° FEB f f} S ;t CP 0 0 } , 31do •ssr�ry"Hlnorv�Jfsf --------- 1331Y19 N/VH d/L S31b'/OOSSV Y 6(3773M 4 ~r O�lOn�l1SNO0 N3HM 3O NMo13H1 d0 SM V7-A9 o� L9 L t 9 N/NOZ 3H1 01 "HOdNOO tsLDZ d31NA�1111 1/IVH1 ON6''NO3Y3H NMOHS SY ONnOtl9 11 1llU3A3 0 3H1 NO O31YO07 S/AIV7d S/HI NO NMOHS 9N/O7/ne3H1 1dHl 4-ja 83o.493y3H/ \ems'-`:W q— 3NO7 00073 _ d.O.7 v � oz �_107 39N3f13.13�1 V' ,VOI.Z V.907 AIV 7d 10 7d O3/-411 U30 � yo O-7b'V.(.3cyd • Zo•b� _ �oS J .g� id Q -A \ Q • . r *IMF TOWN OF BARNSTABLE 34282 Permit No. . BUILDING DEPARTMENT I ' } Cash TOWN OFFICE BUILDING 7 Ml R ' HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to MR. & MRS. TODD PLUTA Address lot #20 & 30A 229 Saddler Lane, West Barnstable J USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID,"AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH'TOWN i REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE,MASSACHUSETTS STATE BUILDING CODE. May 21 92 .......................... 19................. ..... �. {. Building Inspector f ,.aDr •t�;s :9;?1.; ...:,,9.,.,,,�f7�'Tr',�,!-,.;{, ..::y..:! >Hr,;aSr.'.:,•'..,or.YR'::{:: ::�., :•c.:iST•: ,.,,P. .,,_ ..r.._.Y..._e +y �Jrl. „r,�ycl. , ;r: ,sSlw;:.- s fiv>, ;g•. :. p } -y , t.�I n. '. `. ..�f. Lq >TO�IN'.OF BgR1�5TABLE, MASSACHUSETTSl'IT I� :G,g1 `s yA✓f� rC t. •► -r 7, `,i , r. � r ; l✓y ° r rt }ro`�t�t,L�`�lJ �����tYl� � �yE� !�•. �t�=i.5:2�'J��',%�:' •'a '� f f� 1 I,f ,,f• + >rt`i � .:i •� +t�G`..: W", � ��ws: t; i APPLICANTs Ci'at�eS "ADDRESS, ' - f. F -F.•TI`' ,1a::4f,C?tSl, attJ�� F4ttF� �'."yam r� Y .NUMB A rF�•.�:•- :, � D' y E •:O t.BL3 .PERMIT 1'1C�::•De W �l'ling . :,., ..,,��• 1.2 ��r'dftt�j 1.p,. .r {-.•14s., .. (�').."•;;•S`TORY�7111,$— •.� l ,;•(TY PE;O►yIMP ROY-EMENT). NO.�'t:• (PA OP.OSrr - P 1 P .5::lii`:'!(''II7t!MiY.•�Y r.'.t 'e^'t ,''.-; +97 �'• ZON;IN „'+t�'• *.,-,':,v�il.r... { •':AT+(LOC:ATIONF LO�i ZO fit' 3Pa rf"N.ts'e.: t l +.- �l - a � ° S'`«l.�`F bid'k>✓n,y;L}tySYr'[�''ykT�,.,d S t P ,... i • , r ! :I:r .. `� l p }' D�k'"sit""!'xl L �• 7 BETWjEE _ yf AND...•. ,, .-v"',.,. ri P, 1 >.+ fir} ... - ;r •ICROSS'SLREET) ... (CROSS .ST R E ET) j:3t'i. }a:��: 7r :LOT.,. ,. (''•".itt..b.r.�"!':t')'ay'✓ e{SUBDlY1510N t0T' BLOC ° �{ "SIZES...✓reyts1VyL„}jyt '�:��.?�,, rl.t1t^•,t�ti +t�.:ML I! }.} r ,. , .:.r i! .. _'�� s ��:�;Yt�rr VKj�riY�ClJdr rt r� • ✓txal�U�I;D)yG..IS,.T.O,^BED—'F•T;:WIOE BVTFT..LONG BY FT IN:HEIGN7 ANQSHALLtSONE• ,1+��I)� G,'QN$�R(I� .f+',f r �� i :ni �, a. �1 ,t 2 ).:.��':: t�,•�i iY,tc(t�.1'1. lF,`ly?».a.:y*a`-• ,'ti5':u(4�), t }1 Y}''•ti i"<{�q%"La�. t1 i' r + _`.. ,1 },t.�e, { :.4..,tY,f•'+ 7;,�rf+f�,'1 t. - .• I 5atyt�'+ (i'I tt/-'°•1j i!'¢"iNyNk�;S 4Y J.3'jf i t0 TYPE USE GROUP BASEMENT.,WAIL OR FOUNDATION f REM,ARKS.Ixk- Sewa a 91 14 •. ° +r+ts} 2Y," t i b .T�.tc1s +4ft0@-t t tat > >tr •rP }Tt. .:y 4 `snY \..t,.- r, >{ , t , f )f 1rY ,, t ' d4 . 1+4t"t AREAOR� t e � V .t' 4e 1p. �'. - i "t7 ~L!?�t Y YS:. �+ 4 ''ly�r ''S � t 4 i-�.•t? , tt Zt I%utiL^rP u aPERMI7 •rk.,�P' .�., `3• - E57'IMAT•EO COST: {�q.(1 P,-,Qi•�.S.I r ~ FEE y';2 1� r } tGN d,I�C�/ O DARE ►E ET1.-,1T;r _R ? Y.� °>�:{. r ( 1l L •r� awr-!t,kr'•: h Ip + t It 77tS r 1 l i,r,.'.�4' �,la.� r fil q�t�„fir. '� S, t I rJ ,+t�, , r. i BUILDLNG.DEFT' -,•t" ' {r ju. t ' >b•!��r`�i �tiiADDRE$S � BY sra 3 YYr�4 p'�i f Uf}`�<5 •ef.•C�ti _y t +� �•�..: �t .� I t .l -i a- .F t 1 ; - :,YJ- ''2>r •+•,c :S` v t x0 in,!_J A-:;..: ''•t;!:.},Ld'„�• 'I'S t<r, t , Jr rH� ai... ..�,`yw t,.1:^. •�r�ii 5:(�� hr��<rh .lF.t S, �+Y^w.>Dr.\'��[ yf1•�.n tI( 2 , -,A�. ( J ui.S 7 �9 i,I'�tftt���,r.... Mft.11f' 1"lt��" Ffi•a �� .,-1 r.. ..IrF•4nl:.i r.'a...ht Y,,.`l1. r�1°�,"',}-„ft .�IT.f•{�h..:� ,�� • � Y,i......,D.,"r!S `'J .t, � )�'f4-rf'�iS>_f ?:,Ya;�fr�(r "'I Y�'ti7C'r ttr�%�•�'6"'tih1�, .4'!'++i„! r rJ1p�s OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' J1 RhLEASE THE APPLICANT FROM THE CONDITIONS.- MINIMUM OF THREE CALL - + INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE'SEPARATE-?.' �ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR'.. 1. FOUNDATIONS OR FOOTINGS. ELECTRICAL, PLUMBING AND -MADE. WHERE A CERTIFICATE OF OCCUPANCY. IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOTJCCUF�IED UNTIL ME READY TO LATH FINAL INSPEGTION HAS BEEN MADE3. FINAALL I'INSNSPECTION BEFOREE � � - OCCUPA'NCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 �e a�� �y�u��•cud � , . t I 2 ` 2 v �����• it' - 2 �7 2 s 3 HEA ING INSPECTION APPROVALS '! w ENGINEERING DEPARTMENT ! c/ OTHER BOARD OF HEALTH ., > i 1 ' WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IFrCONSTRUCTION La TOR HAS APPROVED E VARIODUS STAGES OF WORK IS NOT STARTED'WITHIN Slt MONTF{5 OF DATE THE INSPECTIONS INDICATED ON THIS.CARD'CAN BE, CONSTRUCTIO ' P �t ARRANGED FOR BY WRITTEN PERMIT IS ISSUED AS NOTED ABOVE, NOTIFICATION. 4 �a�r•M, Sz �/ l-18�i I A"ss4sor's map and lot number .�.................:........ ....:.:�}v'f� � E T��r♦ i rRl! r 9 rye.. P� Sewage Permit number ,.. r7D e-I ..;:_. ZZ� f/sr 1� VJ tl U U II(�L�J a Z BAHNAM: E, i Hguse number .............. ...............��.................` .... ..., r,;. L r rasa: Eb�V'L u D®��E61lT�9.�:®�M AEA® °°"i�o YPv a�e� ` TOWN OF BAR-T�09"( lqNs BUILDING 1SPECTOR r APPLICATION FOR PERMIT TO ....:............:...............1..... ............................. TYPE OF CONSTRUCTION .....w ���...... 2�� .................. ............................................................ �...................19./K. TO THE INSPECTOR OF BUILDINGS: The undersigned he. by applies for a permit according to the following information: Location ..bl. .,ZG.......................................................s ` /!rT/ /..... ..............................97,6 . �. ..... .......... vZ . ... ....... Proposed Use ............ /��............. Zoning District .......... .............................................Fire District Cc ...................... ,� ...... .............................. /�2 o00 ,q SS �t�9� �J�Z�r.v 2�, Name of Owner .......:.. �(J Address ..s�9.....,?l``TZosT!r... .'?�..:/�................ Name of Builder .........................�..! ..............................Address ... l/dl. 07 `l q A Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................../...............................................Foundation ... ..... ' `��1� C.cam► oq�I.o i , ��1�7 `"_gyp Exterior � `�.........ti/1,...... Roofing ...............�j ...,(...................:...................... 7 E�CI i .�3 Floors G'"0..... r�,...... ........ ... 1...31� ..........Interior .. �.� r2,P ��P✓ � _ /J J 4_ :Heating �"'� .Plumbing C2� "�71 `�.......... �. 'Fireplace �9 ...........Approximate Cost ...:....�.`' �� .a............ .... ..................................... Definitive Plan Approved by Planning Board ___________ --------19 Area .......4.v...k...... �.. ~+ 1 Diagram of Lot and Building with Dimensions Fee �q SUBJECT TO APPROVAL OF BOARD OF HEALTH / A� © 1 hereby agree to conform to all the Rules and Regulations of the T w of B rust le regar ' the above construction. ' UTA, 2�LD�MR. �& MRS. r—I No .3428.2.. Permit for ..One,,,Story.......... Single„Family Dwelling............. ' Lot 2 0 & 3 A e_.e L Location ............ ane.................Q....�....2. �....Ssdd� ................... est. ...Barn . st.aka,p..................... ..... .. .. .. Owner .....Tod ... d Pluta. ... ....... .................................... Type,of Construction FKAMQ............................. .�.. ................................................................. Plot ................: Lot ................................ • r Permit Granted Apr1.. 2... : 19 91 '> Date of Inspection :.,.... 19 + ,, •� .. A Date Completeda ........ (//IVIk .......,19 p F RMIT REFUSED ................ ` ..................................... 19 .... ............j.. . ................................................... _. .... - ..... ' d ................................................... %J Approved.".................................................. 19 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION j a Map' 50- Parcel Permit# yY Health Division ?l'122.03 Date Issued O /S Q Conservation Division Je^s. �O!��0 Application Fee Tax Collector �l�% /��c1,���" Permit Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ' _ I Project Street Address 2 Z 1 5ADbLC_2 L4 hr Village STY�-i3 L.0 Owner CAZ-A-t C,- UJN( GL--UFR Address Telephone a 4 13- Permit Request -3 u F-A r-y qj �ct9-rh ri,►v io (1.Cr a-n ��c d� i�v► d vu .(�A 7 c-GL s i DE- v 1L t7 1 Tld� Sq re feet: 1st floor: existing 2A 0 proposed 2nd floor: existing proposed Total new 2'10 Zoning District Flood Plain Groundwater Overlay Project Vgluatiork> 0 Construction Type b ruaZJ Pv—.,P- Lot Size Grandfathered: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family )ff Two Family O Multi-Family(#units) Age of Existing Structure 1.0 Historic House: 0 Yes Flo On Old King's Highway: O Yes �kNo Basement Type: XFuII ❑Crawl ��❑Walkout Ather f a P m To Basement Finished Area(sq.ft.) 'l V4' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing S _ new e Half: existing ne�iu, Number of Bedrooms: existing 3 newer �= --- v, ca a> Total Room Count(not including baths): existing new First Floor RoorE-qount �' G7 77 Heat Type and Fuel: ❑Gas A Oil ❑Electric O Other F H VJ I - � El cry Central Air: m 1�No Fireplaces: Existing � New Existing wood/coal stove: El Wo Detached garage:O existing ❑new size Pool:O existing O new size Barn:O existing O new size Attached garage:existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial O Yes No If yes,site plan review# Current Use S i h Q LQ �-A Pi i l y 04s 1 DuJ Pgp—osed Use 9' BUILDER INFORMATION Name c C� Telephone Number _ - ?2-5 S'l Address �� License# 00,�a/E 6�XAVA)IS "A Home Improvement Contractor# /0(0 3 �9 �L Worker's Compensation# 26roX 53FI0 ALL CONSTRUCTION DEBRIS RESULT FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE'S DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS" VILLAGE - � OWNER DATE OF'INSPECTION: J FOUNDATIONV So-✓A Ty 6 QS O k FRAME K INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL .4 PLUMBING: ROUGH FINAL GAS: ROUGHII eFIN/AL FINAL BUILDING B I N �O �z 1 DATE CLOSED OUT ASSOCIATION PLAN NO. _ .. *tii,.+r„Y a^"s'.3Y....t�,�-'ti...� �-..-.w.....w7--.,-,••q�•,r.:7-�%r...7f,,,,"r +'�'`�' —,u'+r ,�•M� TOWN OF BARNSTABLE Permit'No 342�z . . BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING �� 67D• A �awY' HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to MR, & MRS. TODD PLUTA Address lot #20 & 30A 229 SaddAer Lane,' West Barnstable USE'GROUP FIRE GRADING OCCUPANCY LOAD ' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL- SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY. COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . May 21 92 19.... ........ .... ................... Building Inspector O °FtME,° Town of Barnstable °-^ Regulatory Services B"NSTABLE, ' Thomas F.Geiler,Director HAM i639• a`0� Building Division rFD MAf Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Cd n 5 T"C�r A 1" x Ili F4 M. llwen Estimated Cost'10 Li ZVZ0 Address of Work: 2-41 S D LclZ L-4-A L— . Owner's Name: C2A-t U W Lam- Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES JURY I hereby apply for a permit as the age t of the owner: Date on r ame Registration No. OR Date Owner's Name Q:forms:homeaffidav The Commonwealth of Massachusetts = Department of Industrial Accidents =_ = Olfice olJ11Y8$/gativns _ 600 Washington Street -_ - Boston,Mass. 02111 Workers' com ensation Insurance Affidavit O. , name A( ;�rC TIC . .. ............._ qq q, /, location. �c� / � city hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one kin in ca acity %%%////%/�//G%O%%//%%%%%%//%/%%//%/G/%%/%/G%%///////O%%%/��%///% ' co ensation for my em loyees working on this job.., workers ........�.........::.:::.::....:. .....:....:.....:..:::�::��:>::: .:::::.}n...::.;..,..,.... : ...: r rovidin mP.................:................... .::::::::.:.....:.,:.::..:.:::::.}.::::.:.::.;:4:>.::;}:::fin is}):.Y:.i:;•iY:;?:.}):.:{..?<.."�" ....:.::?.y}t:;?.}}:�:::.}+•::.:.. an e 1 g I am (�� P y4 f r S. } am:L..'.O:..m.....v..Y.Q....... .............v.....-...n....v....... ...................................................................................'...:...:..:..:r.,....v..:..:...:..:n.:t.::.::--rn.:.i...)..?..}..}.' •..i..}..}...:.N......?....i....:...?...}....v....:.:-:.:V• 'neny.........}.�....,............r..n.....r...........:.r..•.:..:.:r:.:.:.:.v::,rw::::.v.:n:.v... .tv..w;....r.:.;n...v.v...... . , ,Y •::::Y}:?::.?:::w:.L}ii.J:.•Y .}.:•t»:{ ;•::.}. :}. 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Faibrre to secure coverage as regdred under Secdon 25A of MULL, can lead to the imposition of cri9nninal penalda of a 8ne ap to S1,S00.00 and/or one years'imprisonment beefnoaadi'ded a des in theof form of Investigations the DIAORK frER dg verificae of tion. correct a day agelnet ma I understand that a copy of this statement may I do hereby certify under the p ' and es eijury that the information provided above is trey.and correct Date - Signature Phone# print name �� •�— offldal use only do not write in this area'to be completed by city or town official permit/license# ❑Buffdtng Department city or town: ❑ Licensing Board ❑Selecbnea's Office ❑checkif immediate response is regmnsd ❑Health Department contact person: phone#; ❑other U Ased 9/95 PJA) Information and Instructions y Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However.the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the mi surance requirements of this chapter have been presented to the contracting authority. 01 Applicants i Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required.to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for u to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please y° be retumed to be sure to fill in the permit/license number which will be used as a reference number. The affidavits may the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. FRI The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Orrice of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 1 1 RESIDENTIAL BUILDING PERMIT 'FEES .' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVINCA SPACE 33 (o 31 C / square feet x$96/sq.foot= x.0031= plus from below(if applicable) AL,TERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f't� , >120 sf-500 sf ` S 35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00 (number) FireplacelChimney x$25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee proicost f } *= � ✓�ie '(Oom��zanurea�i a�✓�ZabJCic�i��GeC�d BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 009013 Birtfidatei 05/11/.1949 = s,. Expires .05/11/2004 Tr. no: 23498 Restricted: '00 GREGORY M CAULEY _ 33A BAXTER AV W YARMOUTH, MA 02673 Administrator 4i ✓fie iDamvnzanwea a� �i' aurc�ucaettd Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration':;j06395 Ex.p iration: 7/23/2004 Type: individual i GREGORY M.CAULEY Gregory Cauley 33 A Baxter Avenue W.Yarmouth,MA 02601 AdminisCrator I r P m r 0 r t A �f m pz q2 . a F u Iml A - - 31 p o ~ r 1 o _ f of C }r r !y ' i i 3 �- �-J���• C c O � 4 `m � C 2 rG n p d r � 2 i3 H o w n N 0 V FF $ c D N ��- Z L.r- n,. P � 1 r k ';� N f• r Y q C p r -A 0 x f i r 'I Y j0 O -[ Am r T c 19 r Q r f °v OV rl f b z Z A of� 7 - s� ' I Ii t I � o ao s � o a g " W � I m I X " tJ 01 \ YI n '= d ct to AM �z o V� F3 —f r _ a � s fT I • t • jI1 I I ' u i G P D m ii P. C � f a t ZZ pp 8� 3 a- 21. � � d t� i w Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE: WHEELER CITY: Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 10/08/10 DATE OF PLANS: 10702 PROJECT INFORMATION: 229 SADDLER LN. W.BARNSTABLE PLYMOUTH COMPANY INFORMATION: MAP INS. CO COMPLIANCE: Passes Maximum UA=94 Your Home=90 4.3%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 290 30.0 0.0 10 Skylight 1: Wood Frame,Double Pane with Low-E 8 0.420 3 Wall 1: Wood Frame, 16" o.c. 540 19.0 0.0 25 Window 1: Wood Frame,Double Pane with Low-E 71 0.320 23 Door 1: Solid 28 0.320 9 Door 9: Glass 30 0.340 10 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 290 30.0 0.0 10 Furnace 1: Forced Hot Air, 82 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date r MECcheck'Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 10/08/10 TITLE:WHEELER Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Skylights: [ ] 1. Skylight 1: Wood Frame,Double Pane with Low-E,U-factor: 0.420 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.320 Comments: [ ] 2. Door 9: Glass,U-factor: 0.340 #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 82 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 i Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ J Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-values,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. v Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1" and Less 1.25" to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) i Sep 15 02 03:26p -. p.2 6, - T,,p O ��0 b LOT 00 LOT .27 ,s A 1% .r A y q .� 4 T2o-rOSEU �L A-N is LOT 19 c / fb B U1 Id c ('-�►�, �� R.wr►�, ov��Z �` LOT 30A Loc-,-t tom- tti S ADC. /Q•0 � •� � �� cow s rn ve n n, V1 pr TO O 4J •C� LOT 31A REs' ZONE'• RF" This MORTGAGE INSPECTION an is For NCESy y Bank Use Only FLOOD ZONE.' C" REGISTRY OWNER; v a DEED F. _1�2B�51QL__-- TpQQs!_&-u-T-___-- DATE: _5.1131P�_ ---- EliYER: CR611�& Y_> ELF.R_ -- ----------- I HEREBY CERTIFY TO - PLAN REF: 42Q __--__SCALE: _ -- _ _ I 30 F;T. SHOWN ON T ILD - _ THAT THE BUING - ��,A Of v� YANKEE SURVEY. HIS PLAN IS LOCATED ON THE GROUND AS SHOWN AND THAT ITS POSITION DOES ____ CONFORM Phut �� CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE a � OWN OF Q68�Y�T.A _-_- 40B (SUITE 1) IT DOES_0—r_ LIE WITHIN THE SPECIAL FLOOD HAZARD 3m INDUSTRY ROAD AREA AS SHOWN 0'V THE H.U.D. MAP DATED�Q/_,(,g��,� _ or�� llARSTONS DILLS, Ka 0264e u - 50001-0015-C M.' 428-0055 I his PAX 4 _ A P T 9 PLA OT MDE FROM A NS253 NO TO HE USED F T R BUILDING R 0• 33243 LM Gs Go2v i . _R�.®� N D T� EX•TEiI/D ALL F�PPL/CASL.E T- / ® AJ VE ,27': SC ,49Z_ - : / _ /O' MANHOLE COLIC,eS To /2" OF F'/N/SHED G,2FaD� Crrr,n. r� "F ,- r FL Ow 2.. layer of per- foof) /s",oea5-fone '/ E'Qu19! To 5E1- ,c NK r �— PiPe To Be IAJ i <:• �.FVeu ID/S-r f3 ©X 314 0 L. EACH P/ � � I 1 � f_. GTE. _ _ /, . , . .j _- \ rr,,II fir- f =f �c. 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